Risk Factors for Meningitis After Transsphenoidal Surgery

Risk factors for meningitis after transsphenoidal surgery.

To evaluate possible risk factors for meningitis, we retrospectively reviewed 228 transsphenoidal operations (in which a standard regimen of amoxicillin prophylaxis was used) for sellar pathology. The incidence of meningitis was 3.1% (seven of 228 cases). Cultures of preoperative specimens from the anterior nasal vestibule in three of seven patients yielded Staphylococcus aureus, but none of th...

Risk factors and rates of delayed symptomatic hyponatremia after transsphenoidal surgery: a systematic review

Olfactory outcomes after endoscopic transsphenoidal pituitary surgery.

BACKGROUND Olfaction has been demonstrated to have a great impact on patients' lives. Transsphenoidal endoscopic pituitary surgery is associated with potentially significant damage to olfactory tissues, but to date this issue has been only poorly documented in the literature. STUDY DESIGN Prospective cohort study comparing olfactory outcomes pre- and postpituitary surgery. METHOD Patients w...

Large Intracranial Aneurysm after Transsphenoidal Surgery for Pituitary Macroadenoma

Uncontrolled cerebrospinal fluid (CSF) leakage after transsphenoidal surgery (TSS) for pituitary adenoma can lead to meningitis. Intracranial mycotic pseudoaneurysm is a rare complication in central nervous system infection. Large single pseudoaneurysm is more uncommon. Most mycotic aneurysms occur due to endocarditis. The present patient had no heart problem and was infected by CSF leakage aft...

Acute Subdural Hematoma Immediately After Extended Transsphenoidal Surgery for Craniopharyngioma.

We report the first case of postoperative acute subdural hemorrhage following extended transsphenoidal surgery (TSS). The patient was a 74-year-old woman with a cystic suprasellar craniopharyngioma with panhypopituitarism. Extended TSS resulted in complete tumor removal. However her consciousness did not recover well. Emergent computed tomography demonstrated a right acute supratentorial subdur...